| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,179 |
1,095 |
$65K |
| 76830 |
Ultrasound, transvaginal |
343 |
342 |
$35K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
337 |
337 |
$32K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
355 |
339 |
$26K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
284 |
269 |
$25K |
| 99401 |
|
746 |
710 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
220 |
218 |
$17K |
| 81007 |
|
2,137 |
1,981 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
109 |
109 |
$9K |
| 76801 |
|
75 |
69 |
$7K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
280 |
280 |
$7K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
280 |
280 |
$6K |
| 81025 |
|
1,120 |
1,089 |
$6K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
280 |
280 |
$6K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
132 |
132 |
$4K |
| 81002 |
|
1,692 |
1,565 |
$3K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
70 |
70 |
$3K |
| 76818 |
|
46 |
34 |
$3K |
| 99385 |
|
25 |
25 |
$3K |
| 87481 |
|
99 |
99 |
$2K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
60 |
47 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
30 |
28 |
$2K |
| 87480 |
|
97 |
97 |
$1K |
| 87510 |
|
97 |
97 |
$1K |
| 81513 |
|
27 |
27 |
$1K |
| 87563 |
|
35 |
35 |
$607.75 |
| 87081 |
|
114 |
114 |
$563.61 |
| 36415 |
Collection of venous blood by venipuncture |
498 |
487 |
$336.58 |
| 76376 |
|
28 |
28 |
$284.00 |